Magdalena Andrade

Individual provider Active NPI Rehabilitation Practitioner · Irwindale, CA

NPI 1053575720 · NPPES record last updated Jan 20, 2009

Key facts

NPI
1053575720
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Practitioner 225400000X
Practice address
13001 Ramona Blvd
H-I
Irwindale, CA 91706-3752
Phone
(626) 337-3828
NPI assigned
Jul 11, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Yes

Addresses

Primary practice location

13001 Ramona Blvd
H-I
Irwindale, CA 91706-3752

Mailing address

233 S Siesta Ave
La Puente, CA 91746-2534
Phone (626) 536-1611

Other providers in Irwindale, CA

All providers in Irwindale, CA · Rehabilitation Practitioner in California

Sources for this page

Verify at the official NPI Registry.